红斑狼疮I号方联合糖皮质激素治疗系统性红斑狼疮的效果
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河北省中医药管理局项目(2014184);河北省中医药管理局项目(2015160)


Effect of Lupus Erythematosus I with Glucocorticoid in Treating Systemic Lupus Erythematosus
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    目的:研究红斑狼疮I号方联合糖皮质激素治疗系统性红斑狼疮(Systemic Lupus Erythematosus,SLE)的效果。方法:选取2014年1月至2016年12月华北理工大学附属医院收治的SLE患者86例,随机分为观察组和对照组,每组43例,均属阴虚内热型。对照组采用糖皮质激素治疗,使用糖皮质激素无效者再予环磷酰胺治疗,治疗3个月。观察组在对照组治疗基础上,加用自拟红斑狼疮I号方治疗。观察治疗前,治疗4、8、12周后2组患者SLEDAI评分、临床疗效、糖皮质激素和环磷酰胺用药量及患者抑郁、焦虑情况。结果:治疗后,观察组总有效率为74.42%明显高于对照组51.17%,差异有统计学意义(P<0.05)。2组治疗前、治疗4周、8周后SLEDAI评分均下降,但2组下降程度比较,差异无统计学意义(P>0.05);治疗12周后,观察组下降程度明显优于对照组,差异有统计学意义(P<0.05)。观察组醋酸泼尼松日平均用量和环磷酰胺使用总量均显著低于对照组,差异有统计学意义(P<0.05);观察组SDS和SAS评分均明显下降,下降程度均较对照组显著,差异有统计学意义(P<0.05)。结论:红斑狼疮I号方联合糖皮质激素治疗SLE,临床疗效显著,可显著降低糖皮质激素和环磷酰胺的使用量,并可改善患者的抑郁、焦虑状态,更有利于SLE患者病情控制。

    Abstract:

    To study the effect of lupus erythematosus I with glucocorticoid in the treatment of systemic lupus erythematosus (SLE).Methods:A total of 86 patients with SLE of yin deficiency and internal heat pattern who were admitted and treated in Affiliated Hospital of North China University of Science and Technology from January 2014 to December 2016 were selected and randomly divided into treatment group and control group,with 43 patients in each group.The patients of control group were treated by glucocorticoid therapy.The patients that glucocorticoid was invalid were treated by cyclophosphamide and the treatment continued for 3 months.Based on conventional treatment,the patients of treatment group were treated by lupus erythematosus I.The SLEDAI score,clinical curative effect,glucocorticoid,cyclophosphamide dose,the depression and anxiety of two groups were observed before treatment,after 4,8 and 12 weeks treatment.Results:After treatment,the total effective rate of the patients in the treatment group was 74.42%,which was significantly higher than 51.17% of control group,and the difference was statistically significant (P=0.027).The SLEDAI score of two groups was decreased before treatment and after 4 weeks,8 weeks treatment,and without significant difference between two groups (P=0.066,0.053); After 12 weeks treatment,the treatment group was decreased significantly than that of the control group,and the difference was statistically significant (P=0.033).The prednisone acetate average dosage and cyclophosphamide dosage of treatment group were significantly lower than that of control group (P=0.024,0.009); SDS and SAS scores of treatment group were significantly decreased,and the degree of decline was more significant than that of the control group.And the difference was statistically significant (P=0.039,0.042).Conclusion:Curative effect of lupus erythematosus I with glucocorticoid treatment of SLE is significant,which can significantly reduce the usage of glucocorticoid and cyclophosphamide and can improve the patient's state of depression,anxiety.It is more conducive to control SLE patients.

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董玉山,谢晓辉,王志文,王义,杜晨光,丁培杰,徐丁洁,赵姣姣.红斑狼疮I号方联合糖皮质激素治疗系统性红斑狼疮的效果[J].世界中医药,2017,(10).

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  • 收稿日期:2017-03-23
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  • 在线发布日期: 2017-11-08
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